The original and primary aim of this study is to evaluate the effects of CHESS with Nurse Case Management on asthma control (symptom-free days), and adherence factors of children aged 4-12. The investigators have expanded the scope of the specific aims. The criteria for their expanded aim is to also interview low-income African-American caregivers to gain an understanding of how they conceptualize their child's asthma, and what they consider to be barriers or facilitators to managing their child's asthma. There is no change in the investigators' original aim.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
301
CHESS Internet telehealth
Percentage Changed in Adherence Score
A baseline number of participants less dropouts was gauged against the weighted average of the number of participants in study period. The percentage change in adherence from baseline through the study was measured and is reported below, together with confidence intervals.
Time frame: Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores
Number of Symptom-free Days
A comparison in the average number of days that a child goes without asthma symptoms between experimental and control groups are shown below.
Time frame: Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores
Improvement in Asthma Control
A six item survey on a seven point Likert scale measuring daytime and nocturnal asthma symptoms, missed school days and rescue medication use in the previous seven days. Lower scores signal better asthma control.
Time frame: Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores
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